| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $147.50 | $147.50 | $279.67 |
Kaiser Permanente
| Professional | 26 | $74.02 | $195.79 | $514.36 |
Test Select & Admn Functl Brain Map Phys/Qhp
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $147.50 | $147.50 | $279.67 |
Kaiser Permanente
| Professional | 26 | $74.02 | $195.79 | $514.36 |